Infected subdural haematoma due to Salmonella
            enterica serovar Typhimurium in an adult

Hayakawa, Kayoko; Oikawa, Akihiro; Takeda, Naoto; Sasaki, Kuri; Hatakeyama, S.

doi:10.1099/jmm.0.019323-0

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…The incidence of infected subdural hematoma is quite low, and only 27 cases have been reported in the literature (table 1 ) [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ]. Although subdural empyema occurs mainly due to the spread of infectious focus near the cranium, infected subdural hematoma most likely occurs through a hematogenous infection to a preceding chronic subdural hematoma [ 14 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…A preexisting subdural hematoma may transform to an infected subdural hematoma mainly through hematogenous infection. According to previous reports, the phlogogenic fungus of an infected subdural hematoma widely varies, including Escherichia coli , Klebsiella , Salmonella and Methicillin-resistant Staphylococcus aureus (MRSA) [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ]. In this report, we present an adult case that developed chronic subdural hematoma infected by Propionibacterium acnes .…”

Section: Introductionmentioning

confidence: 99%

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Chronic Subdural Hematoma Infected by Propionibacterium Acnes: A Case Report

et al. 2015

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We present a very rare case of a patient with an infected subdural hematoma due to Propionibacterium acnes. A 63-year-old male complained of dizziness and was admitted to our hospital. He had a history of left chronic subdural hematoma due to a traffic accident, which had been conservatively treated. Physical, neurological and laboratory examinations revealed no definite abnormality. Plain CT scan demonstrated a hypodense crescentic fluid collection over the surface of the left cerebral hemisphere. The patient was diagnosed with chronic subdural hematoma and underwent burr hole surgery three times and selective embolization of the middle meningeal artery, but the lesion easily recurred. Repeated culture examinations of white sedimentation detected P. acnes. Therefore, he underwent craniotomy surgery followed by intravenous administration of antibiotics. The infected subdural hematoma was covered with a thick, yellowish outer membrane, and the large volume of pus and hematoma was removed. However, the lesion recurred again and a low-density area developed in the left frontal lobe. Craniotomy surgery was performed a second time, and two Penrose drainages were put in both the epidural and subdural spaces. Subsequently, the lesions completely resolved and he was discharged without any neurological deficits. Infected subdural hematoma may be refractory to burr hole surgery or craniotomy alone, in which case aggressive treatment with craniotomy and continuous drainage should be indicated before the brain parenchyma suffers irreversible damage.

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